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Protons

D

eff

(Gy (RBE))= D

abs

(Gy) x 1.1

Protons Gy (RBE) – constant value

ICRU 78 - 2007

All protons are equal

the RBE of protons is

1.1

(independent on LET, dose, end point,

/

)…

Available evidence

the magnitude of RBE variation with treatment

parameters is small relative to our abilities to determine RBE.

There is agreement that there is a measurable increase in RBE over the

terminal few millimeters of the SOBP, which results in an extension of the

bio-effective range of the beam in the range of 1–2 mm.